Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Licensed Clinical Content Specialist (CCS) develops and updates the clinical content of Change Healthcare Clinical Products. Using medical literature review, synthesis of clinical information, and data analysis and in collaboration with external peer reviewers, their role is to ensure the clinical content represents best evidence practice standards and will meet requirements for different users, applications, and contexts. The Clinical Content Specialist is also responsible for quality assurance (QA) of the content and for responding to internal and external client questions and concerns.
Primary Responsibilities
- Utilizing the principles of evidence-based medicine (EBM), design, develop, and update clinical content through the appraisal and synthesis of information gathered from the medical literature Collect and incorporate feedback from external peer reviewers and clients to ensure clinical accuracy and usability
- Perform Quality Assurance of clinical content and create and maintain clinical documentation, as required.
- Serve as a clinical resource for both internal and external customers
- Collaborate with Product Development (PD), Product Management (PM), Product Owner (PO), and Business Systems Analyst (BSA) as needed
- Participate in developing project plans, monitoring tasks, and ensuring on-time delivery of clinical development projects
- Participate in field research that contributes to product advancement as needed
- Positions in this function provide guidance, leadership and serve as a liaison for clinically related solutions which involve technology as a component across the enterprise. These roles support clinically related short term and long term operational, product and/or technical solutions and strategies through guiding development, enhancements to improve end to end clinical process and systems decision making. These consultants partner with product, operations, IT and business functions to design and implement clinical solutions by providing clinically relevant research and analysis of clinical and related data and clinical business processes. All positions in this function require a professional clinically related
- Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
Required Qualifications
- Bachelor's degree or equivalent related experience required
- Licensed Physician
- Candidates must be board-certified or hold diplomate status in the applicable specialty, specifically Internal Medicine or its recognized medical subspecialties
- Time spent in residency or training programs does not qualify, as this represents supervised practice
- Clinical & Business Experience
- 5+ years of hands-on clinical experience in an independent practice setting or equivalent
- Candidates must demonstrate direct patient care experience beyond formal education or clinical training programs
- 5+ years of experience in independent clinical practice and inpatient hospital settings
Preferred Qualifications
- Advanced degree
- Experience in utilization management, case management, or the managed care industry
Specialized Knowledge & Skills
- Writing experience
- Project management experience
- Broad clinical exposure across varied practice settings, including Acute Care, Critical Care, Ambulatory Care, and Pediatrics
- Knowledge or experience in research methodologies and Evidence-Based Medicine (EBM)
- Familiarity with medical coding systems (e.g., ICD, CPT)
- Basic understanding of software development life cycles and technology-enabled workflows
- Proficiency in standard business software applications (MS Word, Excel, PowerPoint)
- Proven excellent verbal and written communication skills, with the ability to draft clear, well-supported clinical documentation and communicate effectively with expert physician panels
- Proven solid critical thinking and problem-solving skills, with the ability to apply logical, evidence-based decision-making
- Proven ability to work effectively both independently and within cross-functional teams; detail-oriented with strong multitasking capabilities
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
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